BLVRB redox mutation defines heme degradation in a metabolic pathway of enhanced thrombopoiesis in humans.
BLVRB redox mutation defines heme degradation in a metabolic pathway of enhanced thrombopoiesis in humans.
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DOI:
10.1182/blood-2016-02-696997
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发表时间:
2016-08
期刊:
影响因子:
20.3
通讯作者:
Song Wu;Zongdong Li;D. Gnatenko;Beibei Zhang;Lu Zhao;Lisa E Malone;N. Markova;T. Mantle;N. M. Nesbitt;W. Bahou
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文献类型:
--
作者:
Song Wu;Zongdong Li;D. Gnatenko;Beibei Zhang;Lu Zhao;Lisa E Malone;N. Markova;T. Mantle;N. M. Nesbitt;W. Bahou
Human blood cell counts are tightly maintained within narrow physiologic ranges, largely controlled by cytokine-integrated signaling and transcriptional circuits that regulate multilineage hematopoietic specification. Known genetic loci influencing blood cell production account for <10% of platelet and red blood cell variability, and thrombopoietin/cellular myeloproliferative leukemia virus liganding is dispensable for definitive thrombopoiesis, establishing that fundamentally important modifier loci remain unelucidated. In this study, platelet transcriptome sequencing and extended thrombocytosis cohort analyses identified a single loss-of-function mutation (BLVRB(S111L)) causally associated with clonal and nonclonal disorders of enhanced platelet production. BLVRB(S111L) encompassed within the substrate/cofactor [α/β dinucleotide NAD(P)H] binding fold is a functionally defective redox coupler using flavin and biliverdin (BV) IXβ tetrapyrrole(s) and results in exaggerated reactive oxygen species accumulation as a putative metabolic signal leading to differential hematopoietic lineage commitment and enhanced thrombopoiesis. These data define the first physiologically relevant function of BLVRB and implicate its activity and/or heme-regulated BV tetrapyrrole(s) in a unique redox-regulated bioenergetic pathway governing terminal megakaryocytopoiesis; these observations also define a mechanistically restricted drug target retaining potential for enhancing human platelet counts.